Medical Staff Coordinator

Job Summary

The Medial Staff Coordinator (MSC) is responsible for coordinating all medical staff activities and serves as the liaison between the medical staff, nursing staff, and administration within the parameters established by the CEO and officers of the medical staff. The MSC maintains close communication with the medical staff members, medical staff leaders, and participates in coordinating medical staff meetings. The Coordinator has knowledgeable of current Joint Commission (TJC) standards, State Board of Medical Examiners, CMS conditions of participation, and other state requirements as well as hospital and medical staff bylaws.

Essential Functions

• Responsible for the credentialing process of the Medical Staff and Allied Health Professionals (AHP) including: supplying applications for staff membership, receiving completed applications, maintaining files for each applicant, requesting references, obtaining licensure and certification verification, obtaining National Practitioner Data Bank information, advising Executive & Credentials Committee and Board of Trustees of applications for consideration and writing letters and intra-hospital memorandums regarding final decisions on applications. Responsible for the appointment and reappointment process following the guidelines set in the credentialing process and in accordance with TJC and Medicare standards.
• Maintains current knowledge of regulatory (CMS) and accrediting (TJC) standards and legal requirements as they apply to the organization and performance of the Medical and SPP staff.
• Controls and logs appropriate access to physician and AHP credentialing and performance files and is responsible for confidentiality of contained materials.
• Coordinates with Health Information Management (HIM), Quality Management and other clinical departments as necessary to insure the timely assembly of the Physician and AHP Quality profiles as part of the Hospital’s Performance Improvement Program and the credentialing process.
• Assists Chiefs of Service and CEO in the development of Core Privileges or other modifications to the privileging process, forms and procedures.
• Maintains thorough knowledge of the Medical Staff Bylaws, Rules and Regulations and Policies and Procedures. Insures compliance of these documents with Medicare and TJC standards. Recommends revisions to CEO and Chief of Staff as necessary to maintain compliance. Maintains official copy of Medical Staff Bylaws and Rules and Regulations.
• Maintains tickler system for timely notification, and follow up with Physicians and AHP staff of the need for reapplication and/or outstanding items.
• Develops and maintains competence in use of MD-Staff database.
• Insures current clinical privilege information of Medical (and AHP staff as necessary) is maintained in the E>Priv database, or stored appropriately in a designated hospital network drive.
• Provides general support services as needed to Medical Staff Officers, Chiefs of Service and Chairpersons of Medical Staff Committees.
• Annually, coordinates the list of Medical Staff Committee membership in consultation with the CEO and Chief of Staff. Maintains original lists of memberships and all revisions made.
• Transcribes minutes of the Credentials Committee, Medical Executive Committee and other Medical Staff committees or medical staff related Hospital meetings as requested.
• Occasionally, acts as communication link between Administrative Officers and middle management.
• Assembles materials for meetings as assigned (transparencies, graphs handouts, reports, minutes, etc…). Insures meeting rooms are reserved and set up appropriately.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• H.S. Diploma or GED High school diploma or GED required
• Associate Degree in healthcare administration, business, or a related field preferred
• 3-5 years of experience in hospital credentialing and privileging preferred. Minimum of 4 years experience as a Hospital Credentialing Specialist. required

Knowledge, Skills and Abilities

• Expert in MD-Staff database, including MD-App.
• Maintains knowledge and compliance with current Joint Commission Guidelines for Medical Staffing.
• Efficiently completes assignments on a timely basis.
• Adheres to strict confidentiality requirements.
• Maintains working knowledge of credentialing databases and resources such as the NPDB, ABMS, AMA profiles, etc.
• Develops and maintains a good working rapport with members of the Medical Staff, hospital executive/management team, and other hospital personnel.
• Provides superior customer service at all times.

Licenses and Certifications

• Certified Provider Credentialing Specialist (CPCS) Certified Provider Credentialing Specialist (CPCS) required
• Certified Professional Medical Services Management (CPMSM) preferred